FOLLOWUP SURVEY

We conducted this survey after witnessing extremely low rates of participation by ASHAs on the Whatsapp groups. Our objective was to understand what is not working and what can be done further.

PARTICIPATION

Reason For Non-Participation

ASHAs were asked about what are the various reasons behind low activity in the whatsapp groups we created.

Without Probing

With Probing

How to Increase Participation

ASHAs were asked about what all we can do to increase participation by ASHAs in the groups?

Without Probing

With Probing

WHATSAPP USAGE




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BASELINE SUMMARY

Below we provide the Summary Stats from the Baseline surveys for the following dimensions -

  • Demographics
  • Covid19 Knowledge and Awareness
  • Mental Health and Job Satisfaction
  • Job Activities
  • Network

DEMOGRAPHICS

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COVID KNOWLEDGE AND AWARENESS

Symptoms Reporting

Without Probing

With Probing

Precautions Reporting

Without Probing

With Probing

Knowledge about COVID19 spread

We tested the ASHA’s knowledge about COVID19 spread in the state. They were asked to rank the top 3 districts with highest number of cases. Responses are given below -

Identification of High-Risk People

Covid Suspects

For each of these, ASHA was asked to describe whether the person described is a suspect/probable covid infected person -

Adviosry to Households

What measures/advisory need to be given by ASHAs/ANMs to household members of someone who tests positive for coronavirus?

Stigma

What measures have been taken by the ASHA to reduce the stigma surrounding covid-19?

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MENTAL HEALTH AND JOB SATISFACTION

Stress and Support

Job Satisfaction

ASHAs were asked how much did they agree or disagree with the following statements -

Disrespected/Harassed

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JOB ACTIVITIES/ PRODUCTIVITY

Households under supervision

Quarantining

Who should?

ASHAs were asked to list out the types of people who are required to be under home quarantine for atleast a week or longer, as a precautionary measure, to prevent the virus from spreading

Migrants Following?

Community Hygiene

Do residents in ASHA’s village follow hygiene practices such as washing hands regularly and covering one’s face when stepping out

Community Support

Who are the other kinds of people in the village that help and support ASHAs in their coronavirus related duties like spreading awareness and health information?

Vaccination and Maternal Care

Vaccination

Maternal Care

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NETWORK

Within Sub-Center

How many ASHAs are a part of your subcenter?

NOTE : All the ASHAs (n = 95) said they are connected with (have regular interactions with) other ASHAs in the Sub-center

Outside Sub-Center

How many ASHAs are you connected to, outside of your sub-center? By connected, we mean, you speak with them regularly, either in person or over the phone, and have had regular and multiple interactions with them.

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MISC. PILOT DETAILS

As a part of this Pilot we tried to contact 530 ASHAs, of which we were able to talk to 325 and 95 had whatsapp on their own phone

We Were able to create 17 Whatsapp Groups (7 composed of Friends and 10 composed of Strangers) with around 4-5 ASHAs each. Each of these groups was then put in one of the following cells :

  • Leader Random - The leader was chosen at random and ASHA’s were then informed of who it was, once the person had agreed to be the leader.
  • Leader Expert - The leader was chosen based on the BL survey that we conducted. We looked at ASHA knowledge of symptoms, precautions, whether they were able to rank districts based on # of covid cases, and whether they were able to identify who is a “covid suspect” and ability to identify High Risk population, based on their training material. A score was created based on these variables, and the ASHA with the highest score was chosen as leader. The other ASHA’s were then informed of who it was, once the person had agreed to be the leader.
  • Leader ASHA chosen - ASHAs in this group were asked to discuss and choose the leader and get back to us. We informed ASHAs that the role of the leader was to post topics for discussion, and also ensure that all ASHAs were participating.
  • ASHA discussion topics - We posted discussion topics on these groups, after calling all of the ASHAs who had this treatment and asking them what they would like to talk about. We then picked a topic based on what was most common.
  • JPAL discussion topics - We posted discussion topics based on issues/topics brought up by ASHAs from previous surveys